How much rates vary
Facilitymedian $83 · 10th to 90th $58 to $120Professionalmedian $71 · 10th to 90th $51 to $457
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $66.07 | Professional | None (both parts) | $57.54 | $57.54 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $34.67 | Professional | 26 · Professional part | $30.20 | $30.20 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $31.62 | Professional | TC · Technical part | $26.92 | $26.92 | $31.62 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | TC · Technical part | $31.62 | $31.62 | $31.62 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $64.57 Median $85.11 Typical High $120.23 | Facility | None | $64.57 | $85.11 | $120.23 |
BCBS Oklahoma Setting Professional Modifier None (both parts) Typical Low $37.15 Median $64.57 Typical High $91.20 | Professional | None (both parts) | $37.15 | $64.57 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $67.61 | $93.33 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $48.98 Typical High $58.88 | Professional | 26 · Professional part | $44.67 | $48.98 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $44.67 Typical High $44.67 | Professional | TC · Technical part | $23.99 | $44.67 | $44.67 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $79.43 Typical High $316.23 | Facility | None | $51.29 | $79.43 | $316.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $57.54 Median $70.79 Typical High $457.09 | Professional | None (both parts) | $57.54 | $70.79 | $457.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $56.23 Typical High $229.09 | Professional | 26 · Professional part | $32.36 | $56.23 | $229.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $38.90 Typical High $229.09 | Professional | TC · Technical part | $23.44 | $38.90 | $229.09 |
United Setting Facility Modifier None Typical Low $16.22 Median $60.26 Typical High $97.72 | Facility | None | $16.22 | $60.26 | $97.72 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $67.61 Typical High $107.15 | Professional | None (both parts) | $53.70 | $67.61 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $60.26 | Professional | 26 · Professional part | $30.90 | $38.02 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $27.54 Typical High $45.71 | Professional | TC · Technical part | $21.88 | $27.54 | $45.71 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $28.18 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $11.48 | $11.48 | $11.48 |
Where Oklahoma sits
The same service costs 3.3 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Oklahoma· 39th of 51
$70.79
AK $162UT $48.98
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.